Long-Term Acute Care Hospitals

  • A major outcome for many long-term acute care hospital (LTACH) patients is successful liberation - or weaning - from mechanical ventilation. Select Medical's Pulmonary / Ventilator Program provides specialized care for patients with acute or chronic respiratory disorders who may need ventilator weaning or require extensive respiratory treatments to breathe independently. Approximately 20 percent of our LTACH patients are on mechanical ventilation. Select Medical has had a high success rate for weaning patients off of the ventilator. Approximately 70 percent of patients who failed weaning during their stay in a traditional hospital setting have been successfully weaned off of the ventilator in Select Medical LTACHs.

    Patient Satisfaction

    Patient outcomes serve as one important set of measures regarding the quality of our care and services. Similarly, the satisfaction of our patients is a key indicator of how well we meet their acute care needs and individual goals. Select Medical measures the satisfaction of patients and families following their LTACH stay using the Select Medical Patient Perception of Care survey. Our overall patient satisfaction trend shows a very consistent, high proportion of positive responses from patients and families. The overall average LTACH positive raw score percentage, since the first quarter of 2011, has been 92 percent or higher. (Note that the satisfaction survey return rate is approximately 50 percent).

    Infection Control

    Many of our patients arrive at our specialty hospitals with multiple infections, a high incidence of resistant organisms and an increased risk for new and recurrent infections. Because patients come to us in fragile condition and often with compromised immune systems, infection control is a major area of focus for Select LTAC hospitals. The Centers for Disease Control and Prevention (CDC) has benchmarked three infection measures for long-term acute care hospitals: ventilator associated pneumonia (VAP), central line associated blood stream infection (CLABSI) and catheter-associated urinary tract infection (UTI). Select Medical LTACHs submit infection data through the National Health Safety Network (NHSN) which is the report arm of the CDC. With the exception of one quarter, Select Medical average Ventilator Associated Pneumonia (VAP) rate has been 36 to 71 percent lower than the CDC LTACH mean VAP rate for the past two years.

    75 percent of Select Medical Hospitals have 0.0 VAP infections

    Across all Select Medical hospitals, catheter-associated urinary tract infections (CAUTI) have been shifting toward lower rates. A similar shift has occurred in the distribution of Central Line Associated Blood Steam infections (CLABSI) rates from Select Medical LTACHs, which has been a major area of focus due to a high degree of morbidity and mortality associated with this type of infection.

    Antibiotic Stewardship

    There has been much interest in reducing the use of antibiotics for all types of hospitals and care settings and an abundance of evidence to support the case for antibiotic stewardship. Yet according to the CDC such programs are often absent in hospitals today. Overuse of antibiotics can lead to increased resistance by bacteria to these medicines, illnesses that cause diarrhea, and injury to the patient for medications that may not be needed. Tracking the average antibiotic charge per patient day facilitates a determination of the relative use of antibiotics at Select Medical LTACHs. The average antibiotic charge per patient day decreased from 2009 to 2011, for Select Medical LTACHs that began the Antibiotic Stewardship program in 2008.

    Other Quality Indicators

    Other important quality indicators that we continually monitor are hospital-acquired wounds and falls with injury. Patients in Select LTAC hospitals have a very low rate of acquiring pressure wounds and prevention remains a focus of our care. Hospital-acquired pressure ulcer rates have been decreasing since the beginning of 2010, reaching a hospital average of less than one per 1,000 patient days and rates are expected to decline further in 2012 because of the implementation of pressure ulcer reduction protocols at all Select Medical LTACHs. Select Medical also monitors the risk of patient injury due to falls. Falls with injury are tracked as the number of falls of severity level 2 or greater per 1,000 patient days. (A level 2 injury requires first-aid or follow up treatment.)

What People are Saying


Nell Jenkins

Select Specialty Hospital-Augusta, Georgia

Summer of 2010, Nell and Sammy Jenkins, both in their 80s, lost their Waynesboro, Georgia home to a house fire. They moved in with their kids until the house could be... View more
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Jean Altomari

Kessler Institute for Rehabilitation, New Jersey

“I’m not sure what the future holds, but I know the best is still ahead of me.”   Jean Altomari and a group of friends were enjoying a terrific Caribbean cruise.... View more

Caitlyn Cota

Select Specialty Hospital-Augusta, Georgia

Caitlyn Cota is a dancer. During her high school years, she was injured during a performance. The resulting pain grew worse over time and eventually she was treated with... View more
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Windham Weaponry


...early intervention program has helped us to enjoy yet another annual drop in our workers' compensation insurance premiums. View more

Patricia Aughtry

Select Specialty Hospital, Erie, PA

When Patricia Aughtry was admitted to our hospital in January 2015, she was in respiratory failure and significant medical issues. As if her complex medical condition wasn’t stressful enough, her family’s choice to send her to our hospital meant she would be a 90-minute drive away. View more

Gary Liddy

Select Specialty Hospital, Akron, OH

While playing with his grandchildren, Gary Liddy felt a tingling sensation in his fingers. By the next day, the tingling spread. Within 24 hours, he was on a ventilator and unconscious. View more
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Eric LeGrand

Kessler Institute for Rehabilitation, New Jersey

The first thing you notice about Eric LeGrand is his smile. It’s a warm, engaging smile that reflects a quiet maturity and deep inner strength. It also belies a... View more

Janice Cooks

Regency Hospital-Columbus, Ohio

Janice Cooks thought she was having an asthma attack. It turned out to be something much more serious, necrotizing pneumonia. She was admitted to ICU in respiratory... View more

Joel Zito

Select Specialty Hospital-Macomb, Michigan

Nineteen-year-old Joel Zito was attending Oakland University with a focus in pre-med. On March 27, 2010, he was helping some friends move a large soccer net when it fell... View more

Drew Daniel

Select Specialty Hospital, Tallahassee, FL

The day after Thanksgiving 2014, William “Drew” Daniel was admitted to a hospital with an electrolyte imbalance so drastic, the doctors, nurses and therapists were not confident he would survive. View more

Stacy Simon

Select Specialty Hospital, Grosse Pointe, MI

Every day at the local mental health counseling and advocacy center, Stacy Simon’s mission is to offer hope. “I believe in spreading love and love will come back in return,” he said. Stacy developed pneumonia and was admitted to our hospital in January 2015. He was ventilator dependent and unable to talk. View more

Brad Henry

Select Specialty Hospital-Springfield, Missouri

Brad Henry, a 45-year-old international customer service representative, had just celebrated his youngest son's birthday. During the next few days, Brad found himself... View more

Judy Barth

Select Specialty Hospital-North Knoxville, Tennessee

Judy Barth was working in her yard when she experienced what she thought was heartburn. The pain increased to the point that she called for help. The last thing she... View more

Mary Boston

Select Specialty Hospital, Phoenix, AZ

Mary Boston thought she had the flu. She felt out of sorts, feverish and tired. But she had no idea how sick she really was. View more

Melinda Minton

Select Specialty Hospital-Denver, Colorado

Melinda Minton was healthy and adventurous, raising two girls and having fun traveling overseas. In July 2010, while visiting a friend in Denver, Melinda fell ill with... View more

Charles Loftis

Regency Hospital of Meridian, Mississippi

Charles Loftis prides himself on his family, especially his grandchildren. He's grateful to be back in Butler, Alabama, where he lives with his wife and two Jack Russell... View more
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Linda and David Kubert

Kessler Institute for Rehabilitation, New Jersey

Most married couples share interests and enjoy spending time together. But Linda and David Kubert have taken togetherness to a new level.  They were out for a ride... View more
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Lamar Baker

Kessler Institute for Rehabilitation, New Jersey

When he walked, Lamar Baker felt like there was a golf ball stuck under his foot. His doctors initially thought it might be a strain, but further testing led to a... View more

Kirk Cordray

Select Specialty Hospital, Akron, OH

Kirkland Cordray is a typical, adventurous teenager. If his face wasn’t buried in a book, he was riding his skateboard. A freak accident while on his skateboard left 17-year-old Kirk with multiple fractures, a chest tube and ventilator dependent. View more

Alexandra Crawford

Select Specialty Hospital, Memphis, TN

Alexandra Crawford had just met the love of her life. At 28, she was healthy and looking forward to her happily ever after. But in July 2014, problems with her tonsils, neck pain and associated swelling sent her to the emergency room. A third ER visit revealed a tonsillar abscess. She was placed on a ventilator. View more

Ann Thomas

Select Specialty Hospital, Erie, PA

Ann Thomas had a full calendar. She worked in a physician’s office and taught a medical terminology class at a local technical school. When she wasn’t at work or teaching, she could be found on snowboard runs and horseback riding trails. In the midst of her active life, Ann was diagnosed with a brain tumor. View more

Barbara Saunders

Regency Hospital-Northwest Indiana, Indiana

Barbara Saunders taught social studies to junior high students for 32 years and loved it. She was preparing lesson plans one January when she grew weak and her legs gave... View more

Kramer Beverage Company

New Jersey

...DJ Nork once again delivered a terrific injury prevention program to our delivery drivers. View more
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Courtney King Dye

Kessler Institute for Rehabilitation, New Jersey

To be an Olympic athlete takes great skill, determination and perseverance. Rehabilitation requires the same qualities.  For Courtney King Dye, an equestrian who... View more
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Jet Aviation


"Over the last two years, Jet Aviation and SSM Physical Therapy have been able to achieve the main goal of reducing muscle strain injuries over 60% and reduce cost associated with these types of injuries." View more

George Plummer

Select Specialty Hospital, Camp Hill, PA

George Plummer woke up in our hospital on a ventilator and with a tracheotomy from an unexpected complication during his cancer surgery. He would later learn that his chances for recovery were very grim. View more

Joshua Speidel

Select Specialty Hospital, Indianapolis, IN

An honor student. A talented basketball player with a full-ride scholarship to Vermont State. At 18, Joshua Speidel was ready to tackle the world. But in February 2015, tragedy struck. View more

Carolyn Abeyta

Regency Hospital of Central Georgia, Georgia

Carolyn Abeyta considers herself a "can do" girl. The physicians and staff at Regency Hospital of Central Georgia call her a miracle. Carolyn's story began with a simple... View more

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